Mr. Jeb Thomas Fowler
Psychologist Psychoanalysis Counseling Psychologist
1 Arnold Cir Ste 7
Cambridge
, Massachusetts 02139-2250
Mr. Jeb Thomas Fowler
Psychologist Psychoanalysis Counseling Psychologist
1 Arnold Cir Ste 7
Cambridge
, Massachusetts 02139-2250
(617) 444-9513
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About
Features
Specialties
- Psychologist
- Counseling Psychologist
- Psychoanalysis
Languages spoken
- English
Location
First Address
- Mr. Jeb Thomas Fowler
- 21 Bartlett Cres # 1
- Brookline, MA
- Zip : 02446-2208
- Phone : (617) 444-9513
Second Address
- Mr. Jeb Thomas Fowler
- 1 Arnold Cir Ste 7
- Cambridge, MA
- Zip : 02139-2250
- Phone : (617) 444-9513
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 10122 | MA |
| N | 103T00000X | Psychologist | 10122 | MA |
| N | 103TC1900X | Counseling Psychologist | 10122 | MA |
| Y | 103TP0814X | Psychoanalysis | 10122 | MA |
National Provider Identifier
| NPI | 1023244852 |
|---|---|
| Provider Name | Mr. Jeb Thomas Fowler |
| First Address | Brookline, MA 02446-2208 |
| Second Address | Cambridge, MA 02139-2250 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2009 |
| Last Update Date | 04/12/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.